Active NPI
Robert Luther Shuman, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Long Beach, CA
National Provider Identifier
1417064221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- G22148
- Practice address
- 3828 Schaufele Ave Ste 340
Long Beach, CA 90808-1793 - Phone
- (657) 241-9052
- Fax
- (714) 665-4663
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | G22148 | CA | Primary |
Addresses
Primary practice location
3828 Schaufele Ave Ste 340
Long Beach, CA 90808-1793
Mailing address
17360 Brookhurst St
Fountain Valley, CA 92708-3720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G221480 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G22148 | CA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorialcare Medical Foundation | Current | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| Orange Coast Memorial Medical Center | Past | Accepting new patients | |
| Los Alamitos Medical Center, Inc. | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Long Beach Memorial Medical | Past | Accepting new patients | |
| Long Beach Memorial Medical | Past | Accepting new patients |
Locations
722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300
17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592
3828 Schaufele Ave
Ste 340
Long Beach, CA 90808
Phone (562) 427-5388
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- rshumanmd16211@direct.memorialcare.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Fountain Valley, CA
- NPI 1205167350
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1194840421
-
- Rehabilitation Hospital Unit
- Long Beach, CA
- NPI 1396791414
-
- Children's Hospital
- Long Beach, CA
- NPI 1477596583
-
- Psychiatric Hospital Unit
- Los Alamitos, CA
- NPI 1497780084
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
-
- General Acute Care Hospital
- Lakewood, CA
- NPI 1184655581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556236800000",
"number": "1417064221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17360 BROOKHURST ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927083720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3828 SCHAUFELE AVE STE 340",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908081793",
"telephone_number": "657-241-9052",
"fax_number": "714-665-4663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUMAN",
"first_name": "ROBERT",
"middle_name": "LUTHER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2019-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "CA",
"license": "G22148",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G221480",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.